Kerala Health

Kerala's healthcare system has garnered international acclaim. UNICEF and the World Health Organization designated Kerala the world's first "baby-friendly state". For example, more than 95% of Keralite births are hospital-delivered. Aside from ayurveda (both elite and popular forms), siddha, and unani, many endangered and endemic modes of traditional medicine, including kalari, marmachikitsa, and vishavaidyam, are practiced. These propagate via gurukula discipleship, and comprise a fusion of both medicinal and supernatural treatments, and are partly responsible for drawing increasing numbers of medical tourists.
A steadily aging population (11.2% of Keralites are over age 60) and low birthrate (18 per 1,000) make Kerala one of the few regions of the Third World to have undergone the "demographic transition" characteristic of such developed nations as Canada, Japan, and Norway. In 1991, Kerala's total fertility rate (children born per women) was the lowest in India. Hindus had a TFR of 1.66, Christians 1.78, and Muslims 2.97.
Kerala's female-to-male ratio (1.058) is significantly higher than that of the rest of India. The same is true of its sub-replacement fertility level and infant mortality rate (estimated at 12 to 14 deaths per 1,000 live births).
However, Kerala's morbidity rate is higher than that of any other Indian state-118 (rural Keralites) and 88 (urban) per 1,000 people. The corresponding all India figures are 55 and 54 per 1,000, respectively. Kerala's 13.3% prevalence of low birth weight is substantially higher than that of First World nations. Outbreaks of water-borne diseases, including diarrhoea, dysentery, hepatitis, and typhoid, among the more than 50% of Keralites who rely on some 3 million water wells is another problem, which is worsened by the widespread lack of sewers.